Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Saad Kothawala, MD

Individual provider Emergency Medicine Physician · NPI 1205577715

Saad Kothawala, MD is an Emergency Medicine in Peoria, Illinois. Qualified in 2022, 4 years ago. Practices with Cepamerica Illinois LLP, a 493-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
4
Licensed in
IL
In the registry since
2022
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

530 NE Glen Oak Ave
Peoria, IL 61637-0001
Phone: (309) 655-2109
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 036171118 (IL)

Record details

NPI number1205577715
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 6, 2022
Last updated in NPPESJuly 26, 2025
Certification dateJuly 26, 2025
Mailing address530 Ne Glen Oak Ave, Peoria, IL 61637-1251

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Cepamerica Illinois Llp — 493 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Peoria